The success of the CaSIPO Project operating in Mopani District

Categories: Care, Community Engagement, and Featured.

In this feature blog series, we will be highlighting each district that operated within the CaSIPO Project and hear first-hand the individual lessons learned for future activities. Today we highlight Mopani District (Limpopo).

Background of the district

On the left-hand side is the Mopani district, whereby they had adherence clubs based in all sub districts. The total number of facilities were 22 and through great work the project managed to decant 244 adherence clubs into community level!

Each district faced unique challenges and in Mopani this was no different


  • We experienced resistance from the District support partner in decanting patients to the community level.
  • At times we had issues with incomplete recording of adherence club registers.
  • There was withdrawal of CBO (Community Based Organisation) funding in their district which brought confusion and caused some of the clubs to be mismanaged!
  • We also experienced issues around the transportation of medicine to Community Adherence Clubs.


  • Meetings were held with the TWG (Technical Working Group) to relate our challenges and in doing so the District Manager allowed us to narrate our role as well as the DSP (District Support Partner). As a team we developed a plan on how best Adherence Clubs are going to be decanted to the community.
  • The use of ACRC (Adherence Club Register Checklist) & Adherence Club audits along with Adherence Club assessments improved the quality of the registers in Mopani!
  • We conducted training of the OTL (Outreach Team Lead) to oversee the Community Adherence club model.
  • We worked together with Orange babies to transport medicine. 

Learning is growing. What have we learned during our CaSIPO’s journey?

  • We have learned that collaborative relationship with DSP (District Support Partners) benefited the project massively.
  • Stakeholder engagement also assisted the project team especially when we hit the rock to address challenges, and successes and to plan for the projects.
  • Training of OTL (Outreach Team Lead) in our district assisted in sustaining the community AC (Adherence Clubs).
  • We have learned that club facilitation to CHW (Community Health Workers) empowered them to own the AC (Adherence Club) and to keep on decongesting facilities even in our absence.

The impact CaSIPO has made in Mopani District District and why we are so proud!

  • Planning with provincial, district and subdistrict care and support managers.
  • The seed (training of Adherence Club Facilitators) that we gave to the CHW (Community Health Workers) continues to bear fruits.
  • OTL leading the community ACF for sustainability.
  • Mopani district was like a funnel whereby they assisted many districts.

The legacy that has been left by CaSIPO

  • Trained Adherence Club Facilitators, equipment to assist in the facilitation of clubs, CHW (Community Health Workers) with knowledge and skills, a well-managed district and support teams, a sustainable Adherence Club model & lastly OTL leading the AC (Adherence Club) model!

Mopani district decanted more than 167 % of Adherence Clubs for financial year 2018! Well done to all involved in this district and on the CaSIPO Project! 

In case you missed it: This is our CaSIPO story (Alfred Nzo) | Learning is growing. What have we learned during our CaSIPO’s journey? A view from the Capricorn District!



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